| NPI | 1962204008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER ENISON CEO 667-289-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |